Chest Pain and Heaviness Prescription (Apr 2026)

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Hospital / Header

Miracles Healthcare
Apollo Cradle & Children’s Hospital
Apollo Spectra Hospitals

OPD Prescription

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Vitals

• Pulse: 68 bpm

• BP: 100/70 mmHg

• SpO₂: 98%

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Chief Complaints

• c/o (complains of): chest heaviness / pain

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Orders (Tests advised)

1. Electrocardiogram (ECG) → “Brady” (likely bradycardia suspected)

2. X-Ray Chest PA View

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Doctor’s Notes (Handwritten – interpreted)

• “Avoid heavy work / exertion” (approx interpretation)

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Medications

1. Ecosprin-AV 75

   • OD (once daily)

2. Nexpro-L / Nexpro-MR (unclear, likely acid reflux medicine)

   • 1 tablet daily

3. K… (likely potassium or supplement)

   • Once a day

   • (10 days mentioned)

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Further Advice / Tests

1. Physiotherapy

2. HRCT Chest (High-resolution CT scan)

3. Echo + TMT

   • Echo = Echocardiography (heart ultrasound)

   • TMT = Treadmill test (stress test)

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Doctor

Dr. Saurabh Jindal
MBBS, DNB (Gen Medicine)
Visiting Consultant – Internal Medicine

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🧠 Simple Explanation (What this means)

🩺 1. What’s going on?

• The patient has chest heaviness/pain

• Doctor wants to rule out:

  • Heart issues

  • Lung issues

  • Muscle-related pain

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❤️ 2. Why these tests?

• ECG: checks heart rhythm

  • “Brady” suggests slow heart rate (bradycardia) concern

• X-ray chest: checks lungs, infection, or structural issues

• Echo + TMT:

  • Echo → heart structure & function

  • TMT → how heart behaves under stress

• HRCT chest:

  • Detailed lung scan (more precise than X-ray)

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💊 3. Medicines meaning

• Ecosprin-AV 75

  • Blood thinner (aspirin-based)

  • Helps prevent clot-related heart issues

• Nexpro (likely)

  • Reduces acidity / GERD

  • Chest pain can sometimes be from acid reflux

• Potassium / supplement

  • Likely to support electrolytes or general health

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⚠️ 4. Important Observations

• BP: 100/70 → slightly low but usually okay

• Pulse: 68 → normal

• SpO₂: 98% → excellent oxygen level

👉 So vitals are stable — this is good.

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🧘 5. Lifestyle Advice

• Avoid heavy physical exertion (important)

• Follow up with tests to confirm diagnosis

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⚡ Summary in one line

Doctor is being cautious about possible heart or chest-related issues, starting basic treatment + recommending tests to rule out serious causes.

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Some corrections by 'Gemini 3.1 Thinking'

THIS IS MORE ACCURATE.

Prescribed Medications

The doctor has prescribed three primary medications in the "Adv." (Advice) box:

1. Esobils-DSR (or similar brand of Esomeprazole + Domperidone)

   • Dosage: 1 capsule daily on an empty stomach.

   • Duration: 10 days (indicated by the circled "10").

   • Common Use: For acidity, heartburn, or GERD.

2. Nucoxia-MR (Etoricoxib + Thiocolchicoside)

   • Dosage: 1 tablet once daily.

   • Duration: 5 days.

   • Common Use: A combination of a painkiller and a muscle relaxant, often used for musculoskeletal pain.

3. Kenberry K (Cranberry extract + Potassium Citrate)

   • Dosage: 1 tablet once daily.

   • Duration: 10 days.

   • Common Use: Generally used to maintain urinary tract health or manage urine acidity.

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Further Investigations & Tests

The doctor has requested the following additional diagnostic tests to further evaluate the chest pain:

• HRCT Chest: A high-resolution CT scan of the lungs.

• Echo + TMT: An Echocardiogram (heart ultrasound) and a Treadmill Test (stress test).

• Physiotherapy: Suggested as part of the treatment plan.

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Other Clinical Notes

• Vitals: BP is 100/70 mmHg, and Pulse is 68 bpm.

• ECG Note: The doctor wrote "Brady," which likely refers to Bradycardia (a slower than normal heart rate).

• X-Ray Note: The doctor noted "↑ BVM," which usually stands for Increased Bronchovascular Markings in the lungs.

• Activity Advice: The prescription explicitly notes to "Avoid weight bearing" (avoid lifting heavy weights).

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